OSAC Associate Membership 2018-2019
NAME OF ORGANIZATION
COMPLETE MAILING ADDRESS
EMAIL TO SEND MEMBERSHIP INVOICE
NAME AND TITLE OF CONTACT PERSON
PHONE # OF CONTACT PERSON
I WANT TO ENROLL AS
Bronze Level for $300 (Summer Conference Booth fee $100 for Bronze Level)
Silver Level for $1,000 (Summer Conference Booth FREE - listed as Silver on website and programs)
Gold Level for $2,000 (Summer Conference Booth FREE - listed as Gold on website and programs)
Yes, I will have a booth at the State Conference at Sequoyah Lodge, June 26-28, 2018.
A copy of your responses will be emailed to the address you provided.
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